Laparoscopic And Endoscopic Cholelithotomy Treat Gallbladder Stone With Normal Diameter Common Bile Duct Stone

Objective:To explore the clinical experience of Laparoscopic and endoscopic cholelithotomy (LECT) treat gallbladder stone with normal diameter common bile duct stone (the widest place of inside common bile duct is about2-8mm), seek more reasonable and economic minimally invasive method.Methods:Retrospective analysis of the patient’s clinical data of the Second People’s Hospital of Chengdu in May2009-January2012. laparoscopic cholecystectomy (LC)+Endoscopic sphincterotomy(EST) stage treatment of gallbladder stone with normal diameter common bile duct stones in31cases (The EST stage group) and LC+EST the same period treatment of gallbladder stone with normal diameter common bile duct stones in34cases (The EST same period group).Compare difference between two sets of preoperative generally (including gender, age, preoperative liver function, the common bile duct diameter, the size of the stone and number), achievement ratio of operation, postoperative complications, the length of stay, charge of be in hospital, patient comfort.Results:The EST stage group and The EST same period group treat gallbladder stone with normal diameter common bile duct stone is feasible and effective and safe, two groups of preoperative generally (including gender, age, preoperative liver function, the common bile duct diameter, the size of the stone and number)(P>0.05) is no statistical difference, Two groups of the success rate, postoperative complications, charge of be in hospital (P>0.05) is no statistical difference, but the length of stay and patient comfort of The EST same period group is statistical differences compared with the EST stage group (P<0.05).Conclusion:LC+EST the same period treat gallbladder stone with normal common bile duct stone, because it with minimally invasive, safe, simple, shorten the period of treatment, alleviate the pain, reduce the patients to two operations fears, welcome by patients, be helpful for early for gallbladder stone with normal common bile duct stone of minimally invasive treatment, protect its target organs, to improve the patient hepatobiliary organs such as structure and function and prognosis, and speed up the turnover of hospital beds, saving social resources, some relief to the doctor. Therefore, this research has a good application prospect.